Organization Active NPI

Visiting Nurse Association of Maryland, LLC

  • Home Health Agency
  • Baltimore, MD
National Provider Identifier
1649270927
Registry record updated Jan 30, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HH7008 Issued in MD
Legal business name
VISITING NURSE ASSOCIATION OF MARYLAND, LLC
Practice address
7008 Security Blvd
Suite 300
Baltimore, MD 21244-2566
Phone
(410) 594-2600
Fax
(410) 594-2570
NPI assigned
Jul 28, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Barry M Ray
Title
Cfo
Phone
(410) 594-2600

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HH7008 MD Primary

Addresses

Primary practice location

7008 Security Blvd
Suite 300
Baltimore, MD 21244-2566

Mailing address

7008 Security Blvd
Suite 300
Baltimore, MD 21244-2566
Phone (410) 594-2600

Other identifiers 3

IdentifierTypeStateIssuer
HS6OtherMDBLUE CROSS FEP
02GZOtherMDBLUE CROSS OF MARYLAND
410673300MedicaidMD

Other names 1

  • VNA of Maryland, LLC Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory

Locations

7008 Security Blvd
Ste 200
Baltimore, MD 21244
Phone (410) 594-9850

Ownership & related parties

Change-of-ownership history 1

DateEventCounterparty
Sep 1, 2019 Change of OwnershipThis provider was the seller Vna of MarylandCCN 217008A, MD, NPI 1215597877

Change of ownership 1

Medicare changes of ownership in which this facility was the buyer or the seller.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1122508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1485734400000",
    "number": "1649270927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7008 SECURITY BLVD",
            "address_2": "SUITE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442566",
            "telephone_number": "410-594-2600",
            "fax_number": "410-594-2570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7008 SECURITY BLVD",
            "address_2": "SUITE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212442566",
            "telephone_number": "410-594-2600",
            "fax_number": "410-594-2570"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VISITING NURSE ASSOCIATION OF MARYLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-28",
        "last_updated": "2017-01-30",
        "status": "A",
        "authorized_official_last_name": "RAY",
        "authorized_official_first_name": "BARRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "410-594-2600",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "MD",
            "license": "HH7008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS FEP",
            "identifier": "HS6",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF MARYLAND",
            "identifier": "02GZ",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "410673300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VNA of Maryland, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.